Uchicago Medicine Adventhealth Bolingbrook
500 Remington Boulevard, Bolingbrook, IL · AdventHealth · · NPI 1164530465
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| St treatment swallow dysfunction/oral CPT 92526 | $85.00 | $340.00 | $80.96 – $131.16 | 7 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $430.00 – $1,225.43 | 7 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $215.00 – $348.31 | 7 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $792.00 – $1,283.05 | 7 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,728.00 – $5,680.26 | 7 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $1,728.00 – $12,596.95 | 7 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,728.00 – $5,680.26 | 7 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $1,728.00 – $22,288.23 | 7 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $31.22 | $124.87 | $1.46 – $1.46 | 1 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $658.00 – $6,151.98 | 7 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $658.00 – $6,151.98 | 7 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $658.00 – $6,151.98 | 7 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $658.00 – $3,581.90 | 7 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $18.68 | 7 |
| Sugars single quant CPT 84378 | $50.00 | $200.00 | $11.53 – $18.68 | 7 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $15,277.82 | $61,111.29 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $25.00 | $100.00 | $29.66 – $161.55 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $221.52 | $886.07 | $99.25 – $99.25 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $50.18 – $81.29 | 7 |
| Supply of digital device HCPCS G0552 | not published | not published | $142.67 – $231.13 | 7 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $1.50 | $6.00 | not published | 0 |
| Supprelin la implant HCPCS J9226 | $22,556.05 | $90,224.19 | $45,020.65 – $72,933.45 | 7 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $576.00 – $4,818.61 | 7 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $4,150.00 – $4,175.00 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $4,175.00 – $5,580.00 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $576.00 – $6,119.44 | 7 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $4,175.00 – $12,596.95 | 7 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $4,175.00 – $12,596.95 | 7 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $4,175.00 – $12,596.95 | 7 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $4,175.00 – $12,596.95 | 7 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $2,414.00 – $9,308.20 | 7 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $971.94 – $1,574.55 | 7 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $576.00 – $2,693.58 | 7 |
| Surgical pathology level 1 gross examination only CPT 88300 | $43.75 | $175.00 | $8.52 – $50.21 | 7 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $68.75 | $275.00 | $17.81 – $64.84 | 7 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $87.50 | $350.00 | $27.25 – $90.47 | 7 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $116.25 | $465.00 | $27.25 – $90.47 | 7 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $200.00 | $800.00 | $54.16 – $622.27 | 7 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $250.00 | $1,000.00 | $54.16 – $1,398.68 | 7 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $116.76 – $216.04 | 7 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $430.00 – $4,818.61 | 7 |
| Susceptibility agar dilution per agent CPT 87181 | $20.00 | $80.00 | $4.75 – $7.70 | 7 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $20.00 | $80.00 | $4.75 – $7.70 | 7 |
| Susceptibility mic per plate CPT 87186 | $46.25 | $185.00 | $8.65 – $14.01 | 7 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $10.76 | 7 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $658.00 – $6,119.44 | 7 |
| Suspension of uterus CPT 58410 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $4,175.00 – $7,125.00 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Svc venogram s&i CPT 75827 | $625.00 | $2,500.00 | $129.72 – $2,732.77 | 7 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $4.26 – $90.47 | 7 |
| Sympathectomy cervical CPT 64802 | not published | not published | $576.00 – $3,389.97 | 7 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,092.58 – $3,389.97 | 7 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $576.00 – $5,680.26 | 7 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $20.78 – $20.85 | 2 |
| Synthetic sentence id test CPT 92576 | not published | not published | $40.03 – $64.84 | 7 |
| Synvisc or synvisc-one HCPCS J7325 | $86.88 | $347.53 | $7.95 – $12.88 | 7 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $21.75 | $87.00 | $4.40 – $7.13 | 7 |
| System pacing micra av HCPCS C1786 | $6,130.92 | $24,523.70 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $3,710.22 | $14,840.86 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $40.00 | $160.00 | $16.94 – $27.44 | 7 |
| T3 (triiodothyronine) total CPT 84480 | $35.00 | $140.00 | $14.18 – $22.97 | 7 |
| T4 (thyroxine) free CPT 84439 | $52.50 | $210.00 | $9.02 – $14.61 | 7 |
| T4 (thyroxine) total CPT 84436 | $31.25 | $125.00 | $6.87 – $11.13 | 7 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.82 – $1.14 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $7.38 | $29.52 | $2.54 – $3.57 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $2.95 | $11.82 | $0.47 – $0.70 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $188.85 | $755.42 | $263.15 – $426.30 | 7 |
| Tacrolimus therapeutic drug level CPT 80197 | $35.00 | $140.00 | $13.73 – $22.24 | 7 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $1,679.69 | $6,718.76 | $14.31 – $23.18 | 7 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $2,648.00 – $10,750.00 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $3,580.84 | $14,323.38 | $73.94 – $119.77 | 7 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $8,423.34 | $33,693.38 | $72.62 – $117.64 | 7 |
| Talymed HCPCS Q4127 | not published | not published | $133.36 – $216.04 | 7 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $2.21 – $2.21 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,032.00 – $3,217.00 | 2 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | $2.06 | $8.26 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $625.00 | $2,500.00 | $107.80 – $1,230.44 | 7 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,125.00 | $4,500.00 | $2,919.60 – $4,729.75 | 7 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $107.80 – $968.61 | 7 |
| Tas congenital car anomal CPT 33741 | not published | not published | $2,648.00 – $2,648.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $792.00 – $1,283.05 | 7 |
| Tavr perq femoral CPT 33361 | $5,500.00 | $22,000.00 | $2,648.00 – $2,648.00 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $395.31 | $1,581.22 | $0.28 – $0.45 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.